# QUEENS UNITED WELLNESS CENTER,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Queens United Wellness Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992269872
- **Authorized official:** MRS. QUEEN R FITZGERALD (CEO/ OWNER)
- **Authorized official phone:** (757) 389-3005

## Contact information

- **Practice address:** 676 OLEANDER CIR, VIRGINIA BEACH, VA 23464-4218
- **Practice address phone:** (757) 389-3005
- **Practice address fax:** (757) 495-0729
- **Mailing address:** 676 OLEANDER CIR, VIRGINIA BEACH, VA 23464-4218
- **Mailing address phone:** (757) 389-3005
- **Mailing address fax:** (757) 495-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/25/2019
- **Last updated:** 01/25/2019